Specialty Focus   
Volume VIII | Issue 12                                                                                    
March 19, 2019    
Practice specific news, analysis and commentary for Florida's Medical Specialists  
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

Miami sex-change surgeon fired after sharing photos of patients' genitals on Instagram
Daniel Chang reports for the Miami Herald on 3.13.19:
A University of Miami Health System doctor has been fired after sharing on his personal Instagram account graphic photos of patients, including pictures of genitalia of some patients who were having gender reassignment surgery, according to a petition launched by transgender advocates asking the American College of Surgeons to intervene. Dr. Christopher John Salgado, section chief of UHealth's LGBTQ Center for Wellness, Gender and Sexual Health, posted the photos as recently as Valentine's Day...
Seeking Compensation for Out of Network Claims: A Primer for Providers
Litigation involving out of network claims by providers, also referred to as "non-participating" or "non-par", continues to be rampant into 2019. Complexity of plan administration, increased state and federal rule making, and rising costs are resulting in increased litigation. A recurring issue: unpaid claims disputes. Many physicians come to the conclusion that some contracts aren't worth entering. More and more physicians are opting out of participating provider contracts or have chosen not to participate in the first place. Reimbursement is usually the prime reason. The law that controls much of the litigation surrounding these disputes is the Employee Retirement Income Security Act of 1974 (ERISA). 


How HCA defies industry trends with 19 straight quarters of admission gains 
Samantha Liss reports for Healthcare Dive on 3.13.19:

HCA has been a Wall Street favorite for a while, bucking industry trends with admissions and revenue growth. The Nashville-based chain boasted 19 consecutive quarters of rising admissions in its most recent earnings report, a feat given the volatility some of its competitors have experienced. By contrast, Community Health Systems and Tenet both reported slumps in patient volume in the most recent quarter. UHS also has seen volume growth but has a much smaller footprint of acute care hospitals. The streak comes as hospital operators face headwinds leaning on patient volumes, including a shift to lower-cost care settings, payer pressures and relative shifts from commercial to government patients. A few key strategies have boosted HCA's continued admissions growth - from picking the right markets to successfully riding the trend to care outside hospital walls, analysts say.
America has seen medical marijuana before: This is what we learned (and forgot)
Erik Messamore, MD, PhD
Very few things in the universe are 100 percent good or 100 percent bad. Cannabis is perfectly ordinary in having a mixture of good qualities (medical benefits) and bad qualities (medical risks). The people who want to make money - lots of money, by the way - from selling marijuana do a perfectly fine job of pointing out the good. But they don't educate the public about the possible risks. They know it will be bad for business. Astonishingly, there are no laws that require them to talk about risks. So, they don't. And that is 100 percent bad. But the medical value of cannabis is actually a very old story. Cannabis was widely used in medicine from the mid-1800s through the early 20th century. Before it became a political hot potato or a reservoir for moral angst, cannabis was just an ordinary medicine. It was nothing more than another tool in the box for the turn-of-the-last-century physician.